Active NPI
Erin Foster-Vrenon, APRN
- Nurse Practitioner
- Gardnerville, NV
National Provider Identifier
1114215381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN001289
- Practice address
- 1329 Waterloo LN
Gardnerville, NV 89410-5385 - Phone
- (775) 782-9038
- Fax
- (775) 782-9043
- NPI assigned
- Jul 21, 2011
- Last updated
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN001289 | NV | Primary |
Addresses
Primary practice location
1329 Waterloo LN
Gardnerville, NV 89410-5385
Mailing address
1329 Waterloo LN
Gardnerville, NV 89410-5385
Phone (775) 782-9038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12400702 | Other | NV | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8255 S Dixie Hwy
Miami, FL 33143-7717
Phone (305) 458-1384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001289 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heme Onc Call | Current | Accepting new patients | |
| East Fork Fire Protection District | Past | Accepting new patients | |
| Maria Sheila Sta. Maria-Torres MD Inc | Past | Accepting new patients |
Locations
9850 Stirling Rd
Ste 100
Hollywood, FL 33024
Phone (786) 567-8310
8255 S Dixie Hwy
Miami, FL 33143
Phone (305) 458-1384
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJABCD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1114215381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 WATERLOO LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105385",
"telephone_number": "775-782-9038",
"fax_number": "775-782-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 WATERLOO LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105385",
"telephone_number": "775-782-9038",
"fax_number": "775-782-9043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER-VRENON",
"first_name": "ERIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2021-12-29",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN001289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12400702",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gardnerville, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.